2024 HESI MATERNITY OB EXAM VERSION 1
LATEST ALL 55 ACTUAL EXAM QUESTIONS
WITH100% CORRECT DETAILED ANSWERS
ALREADY SCORED A+
An infant born breech is at risk for what complication? - ANSWER>>Brachial palsy-- which
results from the stretching of nerve fibers in the neck, shoulder, and arm wherethe shoulder is
being pulled away from the neck during a breech delivery.
What are some observations that the newborn is nursing well to breastfeeding? -
ANSWER>>-Swallowing is audible
-Mother reports a pulling sensation on her nipple
-The tip of the infant's nose and chin touch the breast
What position does the Pavlik harness put infants with developmental dysplasia of the hip stay
in? - ANSWER>>The Pavlik harness keeps the infant in an abducted position allowing the
hips and knees flexed
When should jaundice in a newborn be concerning? - ANSWER>>If jaundice is present less
than 24 hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSWER>>Stop labor
contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSWER>>Tachycardia and
nervousness along with increased CO, restlessness, and headache
When does the anterior fontanel close? - ANSWER>>12-18 months
When does the posterior fontanel close? - ANSWER>>End of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - ANSWER>>Prevent
opthalmia neonatorum which is an eye infection caused bygonorrhea and conjunctivitis which is
an infection caused by chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray. What should thenurse
do? - ANSWER>>Call HCP immediately. Practice of pica will displace nutrients. Evaluate the
pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small amount of bright red blood
with no uterine contractions, but is not bleeding anymore. What may this possibly be? -
ANSWER>>Placenta previa
Is bleeding a small amount of bright red blood life-threatening to the fetus? -
ANSWER>>It is not at risk for hypovolemia or life-threatening.
, What may sudden onset bleeding with present uterine contractions indicate? -
ANSWER>>Abruptio placenta
When is child-birth class recommended? - ANSWER>>30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do tominimize
the swelling? - ANSWER>>Move around every hour
What is important to do for an amniotomy? - ANSWER>>Monitor FHR before, during, and
after procedure. The fluid should also be assessed for color, odor, and consistency.
When is an amniotomy indicated? - ANSWER>>(artificial rupture of membranes
[AROM]) is used to stimulate labor when the condition of the cervix is favorable
How often should maternal blood pressure be done during an amniotomy? -
ANSWER>>Maternal BP should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? -
ANSWER>>Maternal temperature is monitored hourly after the membranes areruptured
to detect development of amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? - ANSWER>>No, alcohol is
excreted through breast milk.
Laboring client is doing accelerated blow breathing and states that she is feeling tinglingin her
fingers and dizziness. What should the nurse do? - ANSWER>>Have the pt breathe into her
cupped hands. She is hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? - ANSWER>>14 days before first day of menstrual period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) -
ANSWER>>produce firm contractions that occur every 2 to 3 minutes, with a duration of60 to 70
seconds, and without evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? - ANSWER>>Yes it
is normal for FHR to increase, but this is indicative to increase thepitocin infusion to stimulate
the intensity and frequency of the contractions
What should be done if fetal stress is present during labor? - ANSWER>>-Place awedge
on the pts left side
-Administer 10L oxygen nasal cannula
LATEST ALL 55 ACTUAL EXAM QUESTIONS
WITH100% CORRECT DETAILED ANSWERS
ALREADY SCORED A+
An infant born breech is at risk for what complication? - ANSWER>>Brachial palsy-- which
results from the stretching of nerve fibers in the neck, shoulder, and arm wherethe shoulder is
being pulled away from the neck during a breech delivery.
What are some observations that the newborn is nursing well to breastfeeding? -
ANSWER>>-Swallowing is audible
-Mother reports a pulling sensation on her nipple
-The tip of the infant's nose and chin touch the breast
What position does the Pavlik harness put infants with developmental dysplasia of the hip stay
in? - ANSWER>>The Pavlik harness keeps the infant in an abducted position allowing the
hips and knees flexed
When should jaundice in a newborn be concerning? - ANSWER>>If jaundice is present less
than 24 hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSWER>>Stop labor
contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSWER>>Tachycardia and
nervousness along with increased CO, restlessness, and headache
When does the anterior fontanel close? - ANSWER>>12-18 months
When does the posterior fontanel close? - ANSWER>>End of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - ANSWER>>Prevent
opthalmia neonatorum which is an eye infection caused bygonorrhea and conjunctivitis which is
an infection caused by chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray. What should thenurse
do? - ANSWER>>Call HCP immediately. Practice of pica will displace nutrients. Evaluate the
pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small amount of bright red blood
with no uterine contractions, but is not bleeding anymore. What may this possibly be? -
ANSWER>>Placenta previa
Is bleeding a small amount of bright red blood life-threatening to the fetus? -
ANSWER>>It is not at risk for hypovolemia or life-threatening.
, What may sudden onset bleeding with present uterine contractions indicate? -
ANSWER>>Abruptio placenta
When is child-birth class recommended? - ANSWER>>30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do tominimize
the swelling? - ANSWER>>Move around every hour
What is important to do for an amniotomy? - ANSWER>>Monitor FHR before, during, and
after procedure. The fluid should also be assessed for color, odor, and consistency.
When is an amniotomy indicated? - ANSWER>>(artificial rupture of membranes
[AROM]) is used to stimulate labor when the condition of the cervix is favorable
How often should maternal blood pressure be done during an amniotomy? -
ANSWER>>Maternal BP should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? -
ANSWER>>Maternal temperature is monitored hourly after the membranes areruptured
to detect development of amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? - ANSWER>>No, alcohol is
excreted through breast milk.
Laboring client is doing accelerated blow breathing and states that she is feeling tinglingin her
fingers and dizziness. What should the nurse do? - ANSWER>>Have the pt breathe into her
cupped hands. She is hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? - ANSWER>>14 days before first day of menstrual period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) -
ANSWER>>produce firm contractions that occur every 2 to 3 minutes, with a duration of60 to 70
seconds, and without evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? - ANSWER>>Yes it
is normal for FHR to increase, but this is indicative to increase thepitocin infusion to stimulate
the intensity and frequency of the contractions
What should be done if fetal stress is present during labor? - ANSWER>>-Place awedge
on the pts left side
-Administer 10L oxygen nasal cannula
